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Grant B, O’Loughlin K, Holbrook H, Althoff R, Kearney C, Perepletchikova F, Grasso D, Hudziak J, Kaufman J. A multi-method and multi-informant approach to assessing post-traumatic stress disorder (PTSD) in children. Int Rev Psychiatry 2020; 32:212-220. [PMID: 31880487 PMCID: PMC7190440 DOI: 10.1080/09540261.2019.1697212] [Citation(s) in RCA: 8] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 10/25/2022]
Abstract
Trauma exposure is highly prevalent among children globally, and is associated with elevated rates of PTSD. The goal of this study was to systematically evaluate the effects of multiple informants and multiple screening measures on the identification of specific PTSD symptoms and rates of PTSD diagnoses. Participants in this study included 350 maltreated children from two cohorts, one recruited from Connecticut (n = 130), and the other from Vermont (n = 220). Both cohorts completed the Screen for Child Anxiety-Related Emotional Disorders (SCARED) before a PTSD self-report measure. The KSADS psychiatric interview was also completed with the Connecticut cohort, with best-estimate ratings generated using parent and child interview, child self-report, and teacher questionnaire data. In addition to the SCARED and PTSD self-report scale, parents of the Vermont cohort completed the Child Behavioural Checklist. Significant differences emerged between parent and child report of sleep, nightmares, concentration, and irritability problems, suggesting the need for multiple informants in PTSD screening. Children also under-reported nightmares when asked in the context of a trauma-specific screening tool. As child trauma is associated with a broad range of psychiatric sequelae, comprehensive assessment using both general symptomatology and trauma-specific measures is recommended, since children often shut down when completing trauma measures.
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Affiliation(s)
- B.R. Grant
- Center for Child and Family Traumatic Stress, Kennedy Krieger Institute, Baltimore, MD,Department of Psychiatry and Behavioral Sciences, Johns Hopkins School of Medicine, Baltimore, MD
| | - K. O’Loughlin
- Vermont Center for Children, Youth, and Families, Department of Psychiatry, University of Vermont, Burlington, VT
| | - H.M. Holbrook
- Vermont Center for Children, Youth, and Families, Department of Psychiatry, University of Vermont, Burlington, VT
| | - R.R. Althoff
- Vermont Center for Children, Youth, and Families, Department of Psychiatry, University of Vermont, Burlington, VT
| | - C. Kearney
- Center for Child and Family Traumatic Stress, Kennedy Krieger Institute, Baltimore, MD
| | - F. Perepletchikova
- Weill Cornell Medicine and NewYork-Presbyterian Hospital, White Plains, NY
| | - D.J. Grasso
- Department of Psychiatry, University of Connecticut School of Medicine, Farmington, CT
| | - J.J. Hudziak
- Vermont Center for Children, Youth, and Families, Department of Psychiatry, University of Vermont, Burlington, VT
| | - J. Kaufman
- Center for Child and Family Traumatic Stress, Kennedy Krieger Institute, Baltimore, MD,Department of Psychiatry and Behavioral Sciences, Johns Hopkins School of Medicine, Baltimore, MD
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O’Loughlin K, Alpass F, Keating N. OPPORTUNITY OR COERCION? INTERNATIONAL PERSPECTIVES ON OLDER WORKERS. Innov Aging 2018. [DOI: 10.1093/geroni/igy023.2956] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/12/2022] Open
Affiliation(s)
- K O’Loughlin
- The University of Sydney, Sydney, New South Wales
| | - F Alpass
- Massey University,New Zealand, Palmerston North, Manawatu-Wanganui
| | - N Keating
- Swansea University, SUMMERLAND, British Columbia
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O’Loughlin K, Kendig H, Hussain R, Cannon L. PERCEPTIONS AND EXPERIENCES OF WORKPLACE-BASED AGE DISCRIMINATION IN AUSTRALIA. Innov Aging 2017. [DOI: 10.1093/geroni/igx004.2869] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/12/2022] Open
Affiliation(s)
- K. O’Loughlin
- The University of Sydney, Sydney, New South Wales, Australia
| | - H.L. Kendig
- Research School for Population Health, Australian National University, Canberra, Australian Capital Territory, Australia,
| | - R. Hussain
- Research School for Population Health, Australian National University, Canberra, Australian Capital Territory, Australia,
| | - L. Cannon
- Research School for Population Health, Australian National University, Canberra, Australian Capital Territory, Australia,
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Kendig H, O’Loughlin K, Hussain R, Cannon L. AUSTRALIAN ATTITUDES AND POLICIES ON INTERGENERATIONAL EQUITY: IMPACTS OF SOCIAL CHANGE. Innov Aging 2017. [DOI: 10.1093/geroni/igx004.1221] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/14/2022] Open
Affiliation(s)
- H.L. Kendig
- Research School for Population Health, Australian National University, Canberra, Australian Capital Territory, Australia,
| | - K. O’Loughlin
- The University of Sydney, Sydney, New South Wales, Australia
| | - R. Hussain
- Research School for Population Health, Australian National University, Canberra, Australian Capital Territory, Australia,
| | - L. Cannon
- Research School for Population Health, Australian National University, Canberra, Australian Capital Territory, Australia,
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Dudley D, O’Loughlin K, Loh V. GOAL-SETTING TYPOLOGIES EVIDENT AMONG COMMUNITY-DWELLING AUSTRALIAN RETIREES. Innov Aging 2017. [DOI: 10.1093/geroni/igx004.707] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/12/2022] Open
Affiliation(s)
- D. Dudley
- The University of Sydney, Lidcombe, New South Wales, Australia
| | - K. O’Loughlin
- The University of Sydney, Lidcombe, New South Wales, Australia
| | - V. Loh
- The University of Sydney, Lidcombe, New South Wales, Australia
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Hussain R, Kendig H, Cannon L, O’Loughlin K. ARE HEALTH PROFESSIONALS AGEIST? INSIGHTS FROM AUSTRALIAN SURVEY OF SOCIAL ATTITUDES. Innov Aging 2017. [DOI: 10.1093/geroni/igx004.2770] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/14/2022] Open
Affiliation(s)
- R. Hussain
- Research School for Population Health, Australian National University, Canberra, Australian Capital Territory, Australia,
| | - H.L. Kendig
- Research School for Population Health, Australian National University, Canberra, Australian Capital Territory, Australia,
| | - L. Cannon
- Research School for Population Health, Australian National University, Canberra, Australian Capital Territory, Australia,
| | - K. O’Loughlin
- The University of Sydney, Sydney, New South Wales, Australia
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Brady J, O’Loughlin K. AUSTRALIAN LIVES ALTERED BY PARKINSON’S DISEASE: WORK, RETIREMENT, AND CARE. Innov Aging 2017. [DOI: 10.1093/geroni/igx004.1171] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/14/2022] Open
Affiliation(s)
- J. Brady
- Faculty of Health Sciences, University of Sydney, Cremorne, New South Wales, Australia
| | - K. O’Loughlin
- Faculty of Health Sciences, University of Sydney, Cremorne, New South Wales, Australia
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Ferchmin P, Catz P, Furimsky A, O’Loughlin K, Rausch L, Green C, Eterovic V. Pharmacokinetics and toxicity of a neuroprotective cembranoid. Biochem Pharmacol 2013. [DOI: 10.1016/j.bcp.2013.08.052] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/26/2022]
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